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CitY of Santa Ana 20 Civic center Pl <br />Permit Counter: (714) 647-5800 lnspection <br />Project Address: 1122 W Third St <br />Assessor's Parcel:008-094-04 Lot: 1 BI <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Existing Bldg. & Use <br />Proposed Use: <br />Singlo Family Dwolling <br />Reroof <br />Reroof <br />SFD Wgarage <br />o <br />C <br />o <br />FI <br /># <br />Description of Work: T/O existing roof to SFD and roplace w <br />Planning Conditions: <br />Owner: <br />Address <br />Roxanne Rodriguez <br />1122 W 3Rd St <br />Santa Ana, CA 92703 <br />17141s73-31M <br />Contractor <br />Address <br />o <br />Phone: <br />Tenant <br />Phone: <br />Stale Lic #: <br />Lic Type: <br />Bus. Lic # <br />Workers' Compensa <br />Carrier: <br />Policy #: <br />Expires <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By <br />NPOES lnsp. Req'd: <br />PWA lnsp Req'd: <br />Planning lnsp. Req'd: <br />Landscaping Insp. Req'd <br />Graham, Jeffery Date: 0 <br />Date: <br />Date: 0 <br />Subjed <br />Zuniga, Allissa <br />No <br />No <br />No <br />No <br />Fire lnsp. Req'd: <br />Police lnsp. Req'd: <br />Flood Zone Cert. Req'd <br />Every peml issuecl shall become invahd unloss tho vto* on the sle eulhotized b <br />such pemit is commoncod withth360days aftet tts tssuance,or iflhe work a <br />on the sile by such permit is suspendod otabandoned fot a peiod of360 days <br />the tme the wo* is cofimenced. <br />lnspector MID#: 202'1-'165076 <br />(M-19), Sanra Ana , CA927@.Bu ild ing Permit #: 1fJ11IJ6222 <br />Pin #: 41724uestsr (714) 667-2738 lnspector Section: (714) 647-5853 <br />Unit Bllg: Address Range Suite Range <br />3 Tract: BALDWINS ADD <br />upancy: R-3 <br />str Type: V B <br />1st FL Area <br />2nd FL Area <br />Other Areas: <br />Garage Area <br />Total <br />Patio: <br />T.l.Area: <br />Yards Req'd <br />Valuation: 95,000.00 <br />e cBc 201 9 <br />d Zone x-0602320257J <br />new shinglss. Replacs sheathing/plywood aa needed. Hand out given. Auth on fie. <br />Engineer <br />r-Builder <br />Address <br />Phone: <br />License #. <br />Architect / <br />Desiqnel <br />Address. <br />Phone: <br />License # <br />021 Misc. Receipt <br />Misc. Receipt <br />Misc. Receipt <br />Permit Fee <br />Microfilm Records <br />Bldg. Stds. Revolvinq <br />General Plan Update <br />lssuance <br />$345.28 <br />$4.05 <br />$1.00 <br />$23.79 <br />$s9.30 <br />o2'l <br />$23.79 <br />$404 58 <br />$1 .00 <br />$4.05 $433.42 <br />$0.00 <br />$433.42 <br />d <br />01116002 51600 <br />01116002 51601 <br />011 16002 51612 <br />01116002 57770 Fee Total <br />Paid to Datel <br />Balance Due <br />Zoning: PHistoric: No <br />Stories: <br />lnsurance: <br />Field: <br />Account#Total <br />0 7 776002 <br />0 7776002 <br />0 7 7 76002 <br />07776002 <br />07776002 <br />57607 <br />57770 <br />57672 <br />57600 <br />57607